Matt Talbot House, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MATT TALBOT HOUSE, INC.

Practice address

809 South Limestone Street
Springfield, OH 45501

Phone

(937) 322-0872

NPI assigned

Oct 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Larry Cox

Title

Director

Phone

(937) 322-0872

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447347265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 SOUTH LIMESTONE STREET",
            "address_2": "PO BOX 1301",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45501",
            "telephone_number": "937-322-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SOUTH LIMESTONE STREET",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45501",
            "telephone_number": "937-322-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT TALBOT HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-322-0872",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Mata, LSW, LCDCIII
• Syneka Mata
• Renee A Matgouranis, LD/RD
• Kristin Michele Mathews, R.N.
• Michelle A Matlock, PA-C
• Kimberly Matthews
• Rachael Matthews
• James A Maxwell Jr., DDS,MS (R)
• Amy May
• Carrie B May, RN

• Substance Use Disorder Rehabilitation Clinic/Center in Springfield, OH
• Providers in Springfield, OH by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.